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Low Income Home Energy Assistance Program Division 10 Service 415 Program 415 Chapters 05 - 65 North Dakota Department of Health and Human Services

SFN 530, Part V, Authorization Dates 415-65-10-30 (Revised 10/1/17 ML #3512) View Archives

The Authorization Date must begin with the first month of continuous eligibility through the last date a vendor can bill or renter/heat checks will be paid by computer. These dates are transferred to the computer "Household Data" screen. (Note that the authorization period is NOT needed if the type of payment will be either Miscellaneous Only or Emergency Only).

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms.